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Alaska rates for HCPCS 77063

Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure)

Facilitymedian $191 · 10th–90th $91$1910%50%10th$191Professionalmedian $52 · 10th–90th $23$1320%5%10th90th$52$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$91.20 / $190.55 / $190.55
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $63.10 / $165.96
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.39 / $39.81 / $95.50
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$23.99 / $33.88 / $66.07
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.05 / $28.84 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $89.13 / $173.78
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $47.86 / $97.72
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$29.51 / $38.02 / $70.79
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$83.18 / $112.20 / $190.55
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $138.04 / $223.87
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$29.51 / $83.18 / $134.90
Moda Health
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$24.55 / $38.02 / $154.88
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$26.92 / $63.10 / $138.04
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $208.93 / $346.74
Premera BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$104.71 / $112.20 / $190.55
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$87.10 / $97.72 / $154.88
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $128.82 / $162.18
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.99 / $40.74 / $104.71
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.39 / $33.11 / $70.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $141.25 / $213.80
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$31.62 / $85.11 / $125.89
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$28.18 / $56.23 / $85.11